Pes Planovalgus

Aetiology

  • Common Condition related to generalized ligamentous laxity.
  • Affects 20% of adults.
  • The medial arch develops by 7 years old.

Clinical Features

Feature Description
Valgus Heel Outward heel tilt.
Loss of Medial Arch The arch flattens when weight-bearing.
Corrects With Tiptoeing, dorsiflexion of the first ray (Jacks test), and while non-weight bearing.
Rarely Symptomatic Can sometimes cause issues due to impingement, excessive laxity, or tight Achilles tendon.

Classification

Flexible with Normal Achilles
Flexible with Tight Achilles
Rigid

Imaging

  • X-Ray shows a negative (apex plantar) Meary’s angle.

Management

  • Non-operative in most cases.

    • UCBL Rigid Arch Supports: Provides medial hindfoot support.
    • Soft Arch Supports: Used for athletic activities.
    • Achilles Stretching: Beneficial for symptom relief.

  • Surgical intervention is rare and may involve osteotomy, tendon transfer, or fusion.

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